Norma R Barajas

Individual provider Active NPI Pharmacy Technician · Ceres, CA

NPI 1104595784 · NPPES record last updated Sep 8, 2021

Key facts

NPI
1104595784
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
72406 (CA)
Practice address
1830 Mitchell Rd
Ceres, CA 95307-2163
Phone
(209) 538-4927
Fax
(209) 538-6991
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
72406CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past
since Sep 12, 2021
Accepting new patients
Thrifty Payless Inc Past
since Sep 12, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 72406 CA Yes

Addresses

Primary practice location

1830 Mitchell Rd
Ceres, CA 95307-2163

Mailing address

904 Larsen LN
Modesto, CA 95351-4352
Phone (209) 505-7969

Other providers in Ceres, CA

All providers in Ceres, CA · Pharmacy Technician in California

Sources for this page

Verify at the official NPI Registry.